通过随机对照试验测试针对儿科肥胖症样本的家庭系统干预（ENTREN-F 计划）。

IF 4.6 2区医学 Q1 BEHAVIORAL SCIENCES

Appetite Pub Date : 2024-09-29 DOI:10.1016/j.appet.2024.107696

Ana Rosa Sepúlveda , Marta Rojo , Tatiana Lacruz , Santos Solano , Montserrat Graell , Óscar L. Veiga

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引用次数: 0

摘要

这项研究评估了 "ENTREN-F"--一种多成分、以家庭系统为基础的干预措施--在国民健康基层医疗机构管理儿科肥胖症的效果。这是一项三臂、平行设计、单盲随机对照试验（RCT），165 个家庭被随机选中：试验组 1）ENTREN-F（n = 62）是一项为期 12 周的认知行为干预（CBT）家庭系统计划，旨在改变生活方式、促进儿童的情感和社交发展以及家庭系统；试验组 2）"ENTREN"（n = 52）是一项针对儿童和家长的 CBT 家庭系统计划，不涉及家庭系统；试验组 3）对照组（CG）（n = 51）包括个人行为监测。所有儿童都接受了临床访谈，以评估诊断结果。根据儿童体重指数（BMI）Z 值、儿童心理健康状况、母亲情绪表达水平、抑郁症状、父母喂养方式、体育锻炼水平和久坐不动的生活方式等方面六个月的变化来评估其有效性。对这些变化的维持情况进行了为期两年的评估。ENTREN-F 的参与率较高（分别为 72.6% 对 66% 对 33%），表明其接受度较高。计划完成后，将近50%的ENTREN-F参与者（22/45人）、21.9%的ENTREN参与者（7/32人）和11.8%的CG参与者（2/17人）的体重指数z-score降低了0.5分。三个试验组在人体测量、心理或家庭相关测量方面没有明显差异。在为期两年的随访中，ENTREN-F和ENTREN均显示出相似的长期疗效，无组间差异，且体重轨迹良好。ENTREN-F似乎能有效控制儿童肥胖症；然而，COVID-19大流行限制了样本量。此外，儿童和家庭结果的多重差异趋势也无法在统计学上显示出来。该研究还进一步证明了心理和家庭相关因素的作用，这些因素可能是体重增加的起源和维持的基础。

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Testing a family system-based intervention (ENTREN-F Programme) for a paediatric obesity sample by a randomized controlled trial

This study evaluated the effectiveness of ‘ENTREN-F’ –a multi-component, family system-based intervention-for managing paediatric obesity at National Health Primary Care. A 3-arm, parallel-design, single-blinded randomized controlled trial (RCT), 165 families were randomized: Arm 1) ENTREN-F(n = 62) is a 12-week cognitive-behavioural intervention (CBT) family system-based programme, addressing lifestyle changes, children's emotional and social development and the family system, Arm 2) ‘ENTREN’ (n = 52) is a CBT family-based programme for children and parents, not addressing the family system, and Arm 3) Control group (CG) (n = 51) covers individual behavioural monitoring. All children were clinical interviewed to assess a diagnosis. Their effectiveness was assessed against six-month changes in children's body mass index (BMI) z-score, children's psychological well-being, levels of expressed maternal emotion, depression symptoms, parental feeding practices, levels of physical activity and sedentary lifestyles. The maintenance of the changes was evaluated for two years. High-attendance rates for ENTREN-F (72.6% vs. 66% vs. 33%, respectively) indicated its greater acceptance. After programme completion, the BMI z-score reduced by .5 points in almost 50% ENTREN-F (n = 22/45), 21.9% ENTREN (n = 7/32) and 11.8% (n = 2/17) CG participants. There were no significant differences between the three trial arms for anthropometric, psychological, or family-related measures. At the two-year follow-up, both ENTREN-F and ENTREN showed similar long-term effectiveness without between-group differences, and weight trajectories were favourable. ENTREN-F appears effective for childhood obesity management; however, the COVID-19 pandemic limited the sample size. Also, the tendency towards multiple differences in child and family outcomes could not be statistically shown. It also provides further evidence of the role of psychological and family-related factors that may underlie the origin and maintenance of weight gain.

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来源期刊

Appetite 医学-行为科学

CiteScore

9.10

自引率

11.10%

发文量

566

审稿时长

13.4 weeks

期刊介绍： Appetite is an international research journal specializing in cultural, social, psychological, sensory and physiological influences on the selection and intake of foods and drinks. It covers normal and disordered eating and drinking and welcomes studies of both human and non-human animal behaviour toward food. Appetite publishes research reports, reviews and commentaries. Thematic special issues appear regularly. From time to time the journal carries abstracts from professional meetings. Submissions to Appetite are expected to be based primarily on observations directly related to the selection and intake of foods and drinks; papers that are primarily focused on topics such as nutrition or obesity will not be considered unless they specifically make a novel scientific contribution to the understanding of appetite in line with the journal's aims and scope.